MRS. GLADYS KABAMBA SMITH FAMILY NURSE PRACTIT
NPI 1154045821
Nurse Practitioner - Family in Anderson, MO

Active since September 27, 2022PECOS EnrolledAccepts Medicare Assignment
104 E MAIN ST, ANDERSON, MO 64831(417) 845-6984(417) 845-6976 Get Directions Write a Review

NPPES record last updated: August 16, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 16, 2023, Sep 27, 2022 (2 updates tracked since 2022).

About Mrs. Gladys Kabamba Smith Family Nurse Practit NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. GLADYS KABAMBA SMITH FAMILY NURSE PRACTIT (NPI 1154045821) is an individual family provider in Anderson, Missouri, licensed in Arkansas (F08210825) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lowell, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1154045821
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. GLADYS KABAMBA SMITHCredential: FAMILY NURSE PRACTIT
Location Address104 E MAIN STAnderson, MO 64831-4103
Mailing Address1501 Lancelot StLowell, AR 72745-9598 · (479) 166-1553
Fax(417) 845-6976
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 27, 2022
Last NPPES UpdateAugust 16, 20232 updates tracked since enumeration
NPPES CertifiedAugust 16, 2023
NPI 1154045821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in AR · F08210825
104 E MAIN ST, Anderson, MO 64831

Secondary Practice Location 1

Location 11501 Lancelot StLowell, AR 72745-9598 · Phone (479) 466-1553

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Gladys Kabamba Smith Family Nurse Practit is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638539927
PECOS Enrollment IDI20260430000391
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64831 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Rural Health)
104 E MAIN ST
ANDERSON, MO 64831
Social Worker (Clinical)
104 E MAIN ST
ANDERSON, MO 64831
Nurse Practitioner (Family)
104 E MAIN ST
ANDERSON, MO 64831
Nurse Practitioner (Family)
104 E MAIN ST
ANDERSON, MO 64831

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gladys Smith's NPI number?

The NPI number for Gladys Smith is 1154045821. It was assigned to this individual provider in the NPPES registry on September 27, 2022.

Where is Gladys Smith located?

Gladys Smith practices at 104 E Main St, Anderson, MO 64831. The listed phone number is (417) 845-6984.

What is Gladys Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Gladys Smith enrolled in Medicare?

Yes. Gladys Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Gladys Smith accept?

Health plans from Medica list Gladys Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gladys Smith was last updated on August 16, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.